Prevalencia de insuficiencia cardiaca en pacientes de sexo masculino entre 65 y 80 años de edad con antecedente de infarto agudo de miocardio atendidos en la consulta externa del Hospital de Especialidades Teodoro Maldonado Carbo en el periodo comprendido entre el 1ero de agosto 2016 y el 31 de julio del 2018.

Abstract

Heart Failure is a progressive and irreversible clinical syndrome that results from a functional or structural heart disorder. HF results in disability and death, its therapeutic objectives are to prolong life and improve its quality. The two most important causes for its development are HBP and ischemic-necrotic events, of these, the acute myocardial infarction is the main one. In the present study we seek to determine the prevalence of HF in patients with a history of at least one acute coronary event compatible with AMI. This study will allow us to identify the relation between AMI and HF, as well as other possible causes in our environment. It is necessary to take preventive measures, to avoid HF and subsequent severe complications. 771 patients were studied, 150 were classified as ICPIM since they met the diagnostic criteria of AMI and subsequent development of HF. The remaining cases were classified as HF, AMI, IC-EICC or EICC since it was not possible to verify the criteria necessary to consider them as ICPIM. Cardiovascular mortality of patients with ICPIM was 26% and of those sudden death was the main cause. The VEF is directly correlated with a poor prognosis; 70% of the patients that died had a low VEF. The higher the BMI, the higher the mortality in patients with ICPIM. Efforts should be oriented towards the prevention of risk factors for HF, and if they are already established in their prompt diagnosis and management.